States/HP Names
The HP name for FL
What is Sunshine?
Dispute Form Only
What is the appeal rule for AR, FL, IA, LA?
0H
What is an adjustment?
The first character in an Amisys claim number
What is a letter?
Christa Helm
Who is our Auditor?
The HP name for OH
What is Buckeye?
The symbols that if marked, does NOT count as an appeal
What are asterisk * and plus+ (for Fidelis) symbols?
0N
What is a COB adjustment?
The letters in the 7th spot of an Amisys claim number that cannot be keyed.
What are C, R, W?
What is 1906?
The HP name for GA
What is Peach State?
An exclamation mark
What symbol indicates an LOB has outliers?
Corr Outlier
What is 3E?
The first three numerical characters of a claim number
What is the received julian date?
The TC code for audit review
What is 6594?
The HP name of KA
What is Sunflower?
Appeal Verbiage unless ADJUSTMENT FORM is attached
What is OH?
Member Reimbursment
What is 1I?
5 numbers, 2 letters, 5 numbers
What is a Facet/Fidelis claim number?
Farmington Site Director
Who is Dawn Komar?
The HP name for NC
What is Carolina Total Care?
The 7 states/HP highlighted yellow
What are CA, CX, FP, MI, MP, OK, & RH
1P
What are Stock Checks?
The letter Z in an Amisys claim number
What is the alpha year indicator for 2026?
Elizabeth "Betty" Brinn
Who founded Centene?